<!DOCTYPE html>
<html class="x-admin-sm">

<head>
	<meta charset="UTF-8">
	<title>谷科综合业务平台</title>
	<meta name="renderer" content="webkit|ie-comp|ie-stand">
	<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
	<!-- <meta name="viewport" content="width=device-width,user-scalable=yes, minimum-scale=0.4, initial-scale=0.8" /> -->
	<meta http-equiv="Cache-Control" content="no-siteapp" />
	<link rel="stylesheet" href="../css/font.css">
	<link rel="stylesheet" href="../css/xadmin.css">
	<style>
		body{
			background-color:white;
		}
	</style>
</head>

<body>
	<div style="width:170%;text-align:center">
		<form class="layui-form layui-col-md-offset2 goodcol-model-form" action="" lay-filter="formTest">
			<fieldset style="width: 380px; color: rgb(0, 0, 0);height: 500px ;">
			<!-- <div class="layui-form" lay-filter="formTest1"> -->
				<br/><br/><br/>
			<div class="layui-form-item">
				<label class="layui-form-label">用户号</label>
				<div class="layui-input-inline">
					<input type="text" name="user_no" lay-verify="title" autocomplete="off" placeholder="请输入用户号"
						class="layui-input">
				</div>
			</div>
			<div class="layui-form-item">
				<label class="layui-form-label">银行账号</label>
				<div class="layui-input-inline">
					<input type="text" name="card_no" placeholder="请输入银行账号" autocomplete="off" class="layui-input">
				</div>
			</div>
			
			<div class="layui-form-item">
				<label class="layui-form-label">地区</label>
				<div class="layui-input-inline">
					<select id="queryRole" name="city" lay-filter="queryRole">
						<option value=""></option>
						<option value="南京">南京</option>
						<option value="无锡">无锡</option>
						<option value="徐州">徐州</option>
						<option value="常州">常州</option>
						<option value="苏州">苏州</option>
						<option value="南通">南通</option>
						<option value="淮安">淮安</option>
						<option value="盐城">盐城</option>
						<option value="连云港">连云港</option>
						<option value="扬州">扬州</option>
						<option value="镇江">镇江</option>
						<option value="泰州">泰州</option>
						<option value="宿迁">宿迁</option>
					</select>
				</div>
			</div>

			<div class="layui-form-item goodcol-model-fun">
				<div class="layui-input-block" style="right: 50px;">
					<button id="addOrUpdate" lay-submit class="layui-btn" lay-filter="find">查询</button>
					<span></span>
					<button type="reset" class="layui-btn layui-btn-primary">重置</button>
				</div>
			</div>


			<div class="layui-form-item">
				<label class="layui-form-label">金额</label>
				<div class="layui-input-inline">
					<input type="text" name="amt" disabled="" autocomplete="off" class="layui-input">
				</div>
			</div>

			<div class="layui-form-item">
				<label class="layui-form-label">备注</label>
				<div class="layui-input-inline">
					<input type="text" name="remark" placeholder="备注" autocomplete="off" class="layui-input">
				</div>
			</div>

			<div class="layui-form-item goodcol-model-fun">
				<div class="layui-input-block" style="right: 50px;">
					<button id="addOrUpdate" lay-submit class="layui-btn" lay-filter="addSubmit">提交</button>
					<span></span>
					<button type="reset" class="layui-btn layui-btn-primary">重置</button>
				</div>
			</div>
			<!-- </div> -->
		</fieldset>
		</form>
	</div>
</body>


<script src="../lib/jQuery/jquery-3.2.1.min.js" type="text/javascript"></script>
<script src="../lib/layui/layui.js" type="text/javascript" charset="utf-8"></script>
<script src="../js/xadmin.js" type="text/javascript"></script>
<script src="../js/comm.js" type="text/javascript" charset="utf-8"></script>
<script src="../js/pay.js" type="text/javascript" charset="utf-8"></script>

</html>